CMS Price Transparency Data

Hepatitis C antibody test

Facility: Pennsylvania Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.4× the $14 Medicare rate · typically $16–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Above the fair price
about $4 over the fair price · 1.6× Medicare
Medicare pays $14 Fair price $19 This hospital $23 Cash price $381 Hospital's list price $381

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $23

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis C antibody test is about $19 (about 1.4× the $14 Medicare rate). Pennsylvania Hospital charges insurers about $23, or about $381 in cash — above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15 - $381 105%
Blue Cross Blue Shieldmajor $14 - $381 98%
Aetnamajor $15 - $381 105%
Cignamajor $9 - $129 63%
Humanamajor $15 - $305 105%
Clover Health $15 105%
Geisinger $15 - $45 105%
Health Net $229 1605%
HealthPartners $15 - $381 105%
Oscar Health $24 168%
UPMC Health Plan $14 - $381 98%
+ 38 smaller / regional plans $14 - $381
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals